Premises Information


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Name

PINEBROOK DRIVE GROUP HOME

Address

5215 PINEBROOK DR

City/State/ZIP

CHARLOTTE

28208

Premise Type

43 - Residential Care

County

Mecklenburg

Inspection Date

12/16/2013

Final Score @ Grade

General Comments

#10) Observed swiffer wet floor wipes stored above toilet paper and zip lock bags. Store chemicals below all other items. Rooms or spaces which are provided and used for the storage of clothing, personal effects, luggage, necessary equipment and supplies and for items not in routine use, shall be kept clean. 15A NCAC 18A .1616 (a).#4) Observed the pots and pans cabinet collecting some debris. Observed some cabinet shelf lining in the kitchen with some minor damage. All equipment and utensils shall be so constructed as to be easily cleaned and shall be kept in good repair. 15A NCAC 18A .1618 (a).#3) Observed raw chicken stored above frozen vegetables in the freezer. Store all raw meats, raw fish, and raw chicken below ready to eat foods. All foods, while being stored, prepared, served, and during transportation, shall be protected fromcontamination. 15A NCAC 18A .1620 (a).#11) Observed the dining room floor loose at the door to the patio. All floors shall be easily cleanable and shall be kept clean and in good repair. 15A NCAC 18A .1607. #12) Observed wall damaged in one resident's room. Observed ceiling splatter above the shower in the large restroom. The walls and ceilings of all rooms and areas shall be kept clean and in good repair. 15A NCAC 18A .1608.#14) Observed old mattresses stored behind the shed. The premises shall be kept neat, clean, adequately drained, and free of litter and vermin harborage. 15A NCAC 18A .1615(a).#1) Install backflow prevention on shower head hose in large restroom. Eddie Minter present.

Violations

CDI=Corrected During Inspection

R=Repeat Violation

VR=Verification Required

Violation Item	Demerits	Violation Description	CDI	R	VR	Comments
8	2	TOILET: HANDWASHING: LAUNDRY AND BATHING FACILITIES: Toilet, lavatory and bathing facilities adequate 4; fixtures in good repair and kept clean 2; soap and towels provided 2 (.1610)	No	No	No	Observed tub and shower surfaces collecting residue. Observed a rusted sink in the bathroom with the tub. Observed a toilet in need of re-caulking at floor in the large bathroom. Observed damaged laminate at sink in small bathroom. Observed the clothes washing machine collecting residue. Toilet, handwashing, bathing, and laundry facilities shall be kept clean and in good repair. 15A NCAC 18A .1610 (a).
9	2	BEDS: LINEN: FURNITURE: All furniture, mattresses, linen, drapes, blinds and similar items in good repair and clean 2; bed linen changed as required 2; clean and soiled linens properly stored and handled 2 (.1617)	No	No	No	Observed the large couch damage under the pillows in the living room. Observed other couches collecting debris. Observed damage and bent blinds in some areas. All furniture, mattresses, curtains, draperies, and other furnishings shall be kept clean and in good repair. 15A NCAC 18A .1617 (a).
15	4	SOLID WASTES: Garbage in standard containers, properly covered and stored, approved disposal 4; containers, storage area kept clean 2; dry rubbish in suitable receptacles, approved storage and disposal 2 (.1614)	No	No	No	Observed one overflowing trash can. Observed one trash can's lid damaged. All solid wastes shall be kept in durable, rust-resistant, nonabsorbent, watertight, rodent-proof standard waste containers which shall be kept covered when filled or stored or not in continuous use. 15A NCAC 18A .1614 (a).